Periprosthetic Insufficiency Fracture around Radiographically Loose Cemented Stem: A Report of Two Cases
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
As the osteoporotic patient population grows, various periprosthetic fractures that cannot be classified appropriately can occur around the femur after hip arthroplasty. We experienced two cases of periprosthetic insufficiency fractures at subtrochanteric area of the femurs around radiographically loose cemented femoral stems. The ages of the patients were 75 years and 83 years. Both patients could not recall any history of trauma before the onset of pain. Both were treated non-operatively. Both healed uneventfully and did not recur after two years of follow up. When the osteoporotic patient with cemented stem showed sudden hip or thigh pain without a history of trauma, great attention should be focused to find this lesion.
Abstract
As the osteoporotic patient population grows, various periprosthetic fractures that cannot be classified appropriately can occur around the femur after hip arthroplasty. We experienced two cases of periprosthetic insufficiency fractures at subtrochanteric area of the femurs around radiographically loose cemented femoral stems. The ages of the patients were 75 years and 83 years. Both patients could not recall any history of trauma before the onset of pain. Both were treated non-operatively. Both healed uneventfully and did not recur after two years of follow up. When the osteoporotic patient with cemented stem showed sudden hip or thigh pain without a history of trauma, great attention should be focused to find this lesion.
참고문헌 (14)
- Duncan CP, "Fractures of the femur after hip replacement", Instr Course Lect, 44, pp.293~304 (1995)
- Black DM, "Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Fracture Intervention Trial Research Group", Lancet, 348, pp.1535~1541 (1996)
- Cross MB, "A rare case of a bisphosphonate-induced peri-prosthetic femoral fracture", J Bone Joint Surg Br, 94, pp.994~997 (2012)
- Curtin BM, "Bisphosphonate fractures as a cause of painful total hip arthroplasty", Orthopedics, 34, pp.e939~e944 (2011)
- Capeci CM, "Bilateral low-energy simultaneous or sequential femoral fractures in patients on long-term alendronate therapy", J Bone Joint Surg Am, 91, pp.2556~2561 (2009)
- Kwek EB, "An emerging pattern of subtrochanteric stress fractures: a long-term complication of alendronate therapy?", Injury, 39, pp.224~231 (2008)
- Neviaser AS, "Low-energy femoral shaft fractures associated with alendronate use", J Orthop Trauma, 22, pp.346~350 (2008)
- Odvina CV, "Severely suppressed bone turnover : a potential complication of alendronate therapy", J Clin Endocrinol Metab, 90, pp.1294~1301 (2005)
- Goh SK, "Subtrochanteric insufficiency fractures in patients on alendronate therapy : a caution", J Bone Joint Surg Br, 89, pp.349~353 (2007)
- Ha YC, "Is surgery necessary for femoral insufficiency fractures after longterm bisphosphonate therapy?", Clin Orthop Relat Res, 468, pp.3393~3398 (2010)
- Koh JS, "Femoral cortical stress lesions in long-term bisphosphonate therapy:a herald of impending fracture?", J Orthop Trauma, 24, pp.75~81 (2010)
- Lenart BA, "Association of lowenergy femoral fractures with prolonged bisphosphonate use : a case control study", Osteoporos Int, 20, pp.1353~1362 (2009)
- Finkelstein JS, "The effects of parathyroid hormone, alendronate, or both in men with osteoporosis", N Engl J Med, 349, pp.1216~1226 (2003)
- Neer RM, "Effect of parathyroid hormone(1-34)on fractures and bone mineral density in postmenopausal women with osteoporosis", N Engl J Med, 344, pp.1434~1441 (2001)
